Organization
RSM MEDICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRVING GARY RAPHAEL MD (PARTNER)
(315) 426-0190
Entity
Organization
Contact information
Practice address
5823 WIDEWATERS PKWY, EAST SYRACUSE, NY 13057-3081
(315) 426-0190
Mailing address
1001 W. FAYETTE ST., SUITE 400, SYRACUSE, NY 13204-2856
(315) 472-1488
(315) 883-5407
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
09/16/2011
Last updated
09/24/2012
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